Individual
MICHAEL DAVID STORMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PORTLAND WAY N, GALION, OH 44833-1156
(419) 462-3425
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.098727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466442
—
OH
Enumeration date
09/18/2009
Last updated
01/27/2021
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